| Lakeview Medical Center Inc | |
|
2000 Meade Parkway Suffolk VA 23434-4259 | |
| (757) 539-0251 | |
| Not Available |
| Full Name | Lakeview Medical Center Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2000 Meade Parkway, Suffolk, Virginia |
| Authorized Official Name and Position | Michael B Stout (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7575390251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Medical Center Inc 2000 Meade Parkway Suffolk VA 23434-4259 Ph: (757) 539-0251 | Lakeview Medical Center Inc 2000 Meade Parkway Suffolk VA 23434-4259 Ph: (757) 539-0251 |
| NPI Number | 1326005539 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 12/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326005539 | NPI | - | NPPES |
| CI0022 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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